Individual
SHAKE K. SEYSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 ALGER ST, LOS ANGELES, CA 90039-1206
(818) 553-0688
(818) 553-2174
Mailing address
PO BOX 4556, GLENDALE, CA 91222-0556
(818) 553-0688
(818) 553-2174
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
07/13/2009
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